早期右心脏重塑在患有中枢脱落的患者中
Dario Donia1,2, Kamil Stankowski1,2, Federica Testerini1,2
1IRCCS Humanitas Research Hospital, Via Alessandro Manzoni, Milano, Italy.
Echocardiography (Mount Kisco, N.Y.)
|October 30, 2024
概括
没有显著的反而发生的中枢倒 (MVP) 与右心脏变化有关,包括更大的三管环和右心房. 三环状平面缩外流 (TAPSE) 在评估这些患者的缩功能时可能不那么可靠.
科学领域:
- 心脏病学 心脏病学
- 心脏成像 - - 心脏成像
- 心声回声图 (Echocardiography) 是一种心声回声图.
背景情况:
- 伴心的形 (MVP) 往往与心脏的左侧重塑有关.
- MVP对右心脏的影响,特别是在没有显著的反的情况下,需要进一步研究.
研究的目的:
- 为了研究MVP患者的右心脏中的心脏重塑,但没有显著的额头骨吐.
- 在MVP患者中评估右心房,三环和右心室的心声学参数.
主要方法:
- 一个单一中心的研究,将MVP (没有显著的反) 的患者与使用跨胸腔心声学 (TTE) 的健康对照进行比较.
- 排除标准包括显著的反或已知的心血管/肺部疾病.
- 分析了右心脏的心声学参数.
主要成果:
- 分析了49名MVP患者和54名对照人群;MVP患者中有41%患有三巴预落 (TVP).
- 与对照组相比,MVP患者,有或没有TVP,表现出较大的三管环和右心房体积.
- 虽然大多数右心室缩指数相似,但TAPSE在TVP的MVP患者中较高.
结论:
- 患有MVP和不到中度吐的患者表现出右心房和三管环的扩张.
- 这些患者的TAPSE增加表明,在使用该指数进行心功能评估时应谨慎使用.
- 替代性回声心脏学参数可能更可靠地评估MVP患者的右心室缩功能.
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